Organization Active NPI

Perfect Balance Healthcare, PLLC

  • Pharmacist
  • Coral Springs, FL
National Provider Identifier
1487148706
Registry record updated Jun 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PS52571 Issued in FL
Legal business name
PERFECT BALANCE HEALTHCARE, PLLC
Practice address
7500 Live Oak Dr.
Coral Springs, FL 33065
Phone
(855) 724-8786
Fax
(855) 724-8786
NPI assigned
Jun 20, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Nandita Sarah Koodie, PHARM. D.
Title
Pharmacist
Phone
(855) 724-8786

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X PS52571 FL Primary

Addresses

Primary practice location

7500 Live Oak Dr.
Coral Springs, FL 33065

Mailing address

1293 N. University Dr.
# 153
Coral Springs, FL 33071
Phone (855) 724-8786

Other names 1

  • Perfect Balance Healthcare Doing business as

National Provider Directory

National Provider Directory

Locations

1293 N University Dr
#153
Coral Springs, FL 33071

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1529452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529452800000",
    "number": "1487148706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1293 N. UNIVERSITY DR.",
            "address_2": "# 153",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "33071",
            "telephone_number": "855-724-8786",
            "fax_number": "855-724-8786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7500 LIVE OAK DR.",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "33065",
            "telephone_number": "855-724-8786",
            "fax_number": "855-724-8786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERFECT BALANCE HEALTHCARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-20",
        "last_updated": "2018-06-20",
        "status": "A",
        "authorized_official_last_name": "KOODIE",
        "authorized_official_first_name": "NANDITA",
        "authorized_official_middle_name": "SARAH",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "855-724-8786",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PHARM. D."
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS52571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Perfect Balance Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Coral Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.